FDA Adverse Event
Malfunction
Summary report: N
ENVY G SERIES
MDR report key: 20266093
·
Received September 19, 2024
Report
- Report Number
- MW5159741
- Event Type
- Malfunction
- Date Received
- September 19, 2024
- Report Date
- September 17, 2024
- Manufacturer
- AGILITI HEALTH - ELLIS
- Product Code
- FNM
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- *
Narratives
Description of Event or Problem · 0
TWO (2) ENVYLINE G SERIES MATTRESSES COMPROMISED. REFERENCE REPORT: MW5159742.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1525635 | ENVY G SERIES | MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE | FNM | AGILITI HEALTH - ELLIS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |